Evidence map›Paper›PMID 34504382›Full record

ArticleJournal of marriage and the family2021

Long-Term Physical Health Consequences of Financial and Marital Stress in Middle-Aged Couples.

Seonhwa Lee, Kandauda K A S Wickrama, Tae Kyoung Lee, Catherine Walker O'Neal

Open access · greenAbstract read
In one paragraph

Article in Journal of marriage and the family, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cumulative stress and epigenetic aging: Examining the role of psychological moderators.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  4. Family risk classes predict longitudinal parent and child outcomes: Understanding the implications of poverty-related adversity.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025
    Article
  5. Article
  6. Article
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  9. Father and mother harsh parenting and adult romantic relationships over time: Individual behavior during adolescence.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Seonhwa LeeUniversity of California, Davis.ORCID 0000-0001-6803-9815
Kandauda K A S WickramaUniversity of Georgia.
Tae Kyoung LeeUniversity of Miami Miller School of Medicine.
Catherine Walker O'NealUniversity of Georgia.ORCID 0000-0002-3869-2394
University of Georgia · USUniversity of California, Davis · USUniversity of Miami · US

Funding

CRITICAL TRANSITIONS IN RURAL FAMILIES AT RISKR01MH051361 · NIMH · IOWA STATE UNIVERSITY · PI CONGER, RAND DONALD · 1994 to 2009
$6.3M
Economic Stress &Child Development Across 3 GenerationsR01HD047573 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CONGER, RAND DONALD, NEPPL, TRICIA K. · 2004 to 2010
$4.9M
A Genetic Study of Personal Traits that Promote or Inhibit Individual Well-BeingR01HD064687 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CONGER, RAND DONALD, DONNELLAN, MICHAEL BRENT · 2010 to 2014
$4.3M
Couple Relationships and Health during Transition to Later AdulthoodR01AG043599 · NIA · UNIVERSITY OF GEORGIA · PI WICKRAMA, KA · 2014 to 2018
$2.6M
Relationship Development and Health in Young AdultsR01HD051746 · NICHD · IOWA STATE UNIVERSITY · PI LORENZ, FREDERICK O · 2006 to 2010
$2.5M
Research Training In Transitions, Family &Mental HealthT32MH019734 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TUCKER, M BELINDA · 1992 to 2008
$1.7M
A MICRO PROCESS STUDY: SIBLINGS AND ANTISOCIAL BEHAVIORR01MH062989 · NIMH · MIRIAM HOSPITAL · PI SLOMKOWSKI, CHERYL L · 2000 to 2003
$1.4M
MENTAL HEALTH &SOCIAL CHANGE: A LIFE COURSE PERSPECTIVEK05MH000567 · NIMH · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI ELDER, GLEN H · 1985 to 1999
–
NIA NIH HHS R01 AG043599NICHD NIH HHS R01 HD047573NICHD NIH HHS R01 HD051746NICHD NIH HHS R01 HD064687NIMH NIH HHS K05 MH000567NIMH NIH HHS R01 MH051361NIMH NIH HHS R01 MH062989NIMH NIH HHS T32 MH019734
6 · The paper itself

Abstract

objectiveTo examine psychological health as a mechanism linking economic pressure and marital instability in the early middle years to poor physical health in later life.

backgroundAlthough previous research suggests that sustained stressful marital experience may lead to mental and physical health problems, little is known about how contextual factors, such as economic pressure, impact marital outcomes, and how changes in marital attributes influence health outcomes in a longitudinal and dyadic context.

methodUtilizing an actor-partner interdependence model within a latent growth curve approach and prospective data from couples in enduring marriages, we examined the associations between family economic pressure, marital instability, and mental health over their early middle years (1989-1994) and subsequent physical health in later adulthood (2015). Analyses assessed a couple-level pathway and an individual pathway involving within-spouse and between-spouse effects.

resultsDuring the middle years, family financial difficulties were linked to reduced marital stability, which was associated with increased mental health challenges. The findings also reinforced the salient role of psychological distress for subsequent physical health outcomes as husbands' and wives' anxiety symptoms over their early middle years contributed to declines in their physical health outcomes in later adulthood. A partner effect was noted between husbands' anxiety and wives' physical health.

conclusionFor couples, experiences of financial and marital stress in their early middle years can have long-lasting detrimental impacts on their physical health in later adulthood.

Indexed as

coupleslongitudinal researchmarital relationsmental healthphysical healthstress

Identifiers

PMID34504382
PMCPMC8425299
OpenAlexW3102957730

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.